A nurse decided to do a home check-up and obtained the following data:

 The family has nine members with a gross income of P500.00 per day and three children are

studying.

 The mother is a vegetable vendor in the community and earns a profit of P200.00 a day. At child

bearing period. Mrs. V verbalized. With the meager daily income of P300.00 my husband earns,

I need to help Increase through selling vegetables. I am so busy that I can’t find time to have my

urine examined. But I did not have during my previous pregnancies and even with my present

pregnancy. That is why I seldom go for a check up at the clinic. It just happened that I passed by

the health center on my way home, so I thought of dropping by the clinic to have my prenatal

check up. But I actually feel alright. But the doctor mentioned that my blood pressure was

slightly elevated. The doctor want me to go back to the clinic to have my prenatal follow up. She

wants to see the result of my urine examination , my problem is I have plenty of things to do.

But I don’t think I have to worry because I have 7 pregnancies and they were all normal. ALL of

them were home deliveries attended by a “hilot”

 The family lives in a two-room house of light materials situated in a congested area about 4 km

from the health center. They kept the garbage at the back of their house.

 The two children have a varying degree of infected and healed skin eruptions and scabs on

their hands and feet

 The other child looks pale, lethargic and spathetic with scabies too, underweight and

malnourished

 The mother verbalized that her husband wants to give the children a better future.

Prioritize the following health problems and justify using the scoring criterion.

1. Malnutrition

2. Scabies

3. Inadequate living space

4. Family size beyond family resources

 1. Malnutrition
Criteria Computation
1. Nature of the problem
2. Modifiability of the
problem
3. Preventive potential
4. Salience of the problem
Total score
Actual score justification
3/3 x 1 1 health deficit, there is a
problem in maintaining
health maintenance.
2/2 x 2 2 Easily modifiable, the risk
factor can be modified.
3/3 x 1 1 Highly, it can prevent
having malnutrition, by
consulting to dietician
and/or giving proper
amount of food.
2/2 x 1 1 problem needing urgent
attention, its urgent and
need medical attention.
1+2+1+1 5 It shows that there is a
problem in maintaining
health maintenance and its
urgent need for medical
attention. But it can be
prevented.
 2. Scabies
Criteria Computation
1. Nature of the problem
2. Modifiability of the
problem
3. Preventive potential
4. Salience of the problem
Total score 0.67+2+1+1
Actual score Justification
2 /3 x 1 0.67  Health threat have a
varying degree of infected
and healed skin eruptions
and scabs on
their hands and feet. It can
be worsened if left
untreated.
2/2 x 2 2 Easily modifiable, the risk
factor can be modified.
3/3 x 1 1 Highly preventive, it can
use as a preventive
equipment is lotion that
contains insecticides and
avoid skin to skin contact.
2/2 x 1 1 Problem needing urgent
attention, because scabies
are highly contagious and
need immediate treatment.
4.67 According to the criteria, it
can lead to health threat
and needed urgent
attention. But its highly
preventable.
 3. Inadequate living spaces
Criteria Computation Actual score Justification
1. Nature of the problem 2 /3 x 1 0.67 Health threat

2. Modifiability of the 1/2 x 2 1 Partially modifiable

problem

3. Preventive potential 2/3 x 1 0.67 Moderate

4. Salience of the problem 1/2 x 1 0.5 Problem not needing

urgent attention

Total score 0.67+1+0.67+0.5 2.84 It can be health threat to

their health, there are some
potential prevention that it
may help to their problem
that may affect their health.

4. Family size beyond family resources

Criteria Computation Actual score Justification
1. Nature of the problem 2/3 x 1 0.67 Health threat

2. Modifiability of the 1/2 x 2 1 Easily modifiable

problem

3. Preventive potential 1/3 x 1 0.33 Highly

4. Salience of the problem 2/2 x 1 1 Problem needing urgent

attention

Total score 0.67+1+0.33+1 3 It can be health threat but

there is a highly preventive
measures to suggest for
there health problem
because it is urgent
attention.